Patientsäkerhet under fältmässiga förhållanden
Sammanfattning: Background: Military medicine has historically been an important driving force in terms of medical development and there are plenty of examples of changes in healthcare that are rooted in the military. Specialist nurses in the fieldwork towards the same goals as in civilian healthcare, but with limited resources and under other circumstances. In a possible situation where specialist nurses from the civil health care in Sweden are faced with caring for patients during, for example, a natural disaster or some form of terrorist act, it is interesting to know how the intraoperative care of the patient is affected in such a situation. Aim: To describe advanced specialist nurses’ experiences of how the conditions in the field can affect the intraoperative care regarding patient safety. Method: A qualitative interview study with a strategic sample. The interviews were conducted in focus groups. The interviews were transcribed and analyzed with a qualitative content analysis according to Graneheim and Lundman (2004). Results: The results of this study show that the participants all agree that intraoperative patient safety is not affected to any great extent by field conditions, but that there are certain factors that may jeopardize patient safety. Examples of this are deficiencies in intraoperative hygiene and the technical equipment. Factors that promote patient safety are a motivated staff group that gets to practice a lot and thus become a well-functioning, cohesive team. Patient safety also benefits from working according to the same routines as in civilian healthcare. Conclusion: There are factors that can negatively affect patient safety, but the risks of patient harm must be seen in relation to a context where there is no other alternative. Several risks for patient safety are weighed up by well-welded teams that practice and are being followed up continuously, as well as an awareness that allows one to anticipate and avoid any patient harm.
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